| Code | Description | Claims | Bene. Records | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,165 |
1,165 |
$19K |
| V2020 |
Frames, purchases |
1,838 |
1,835 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,641 |
1,640 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
364 |
364 |
$9K |
| 92015 |
Determination of refractive state |
2,061 |
2,061 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
283 |
283 |
$5K |